| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.23 | $541.23 | $3,073.00 | |
Medica
| Facility | $444.42 | $723.70 | $1,683.40 | |
Midlands
| Facility | $986.01 | $1,177.70 | $1,821.47 | |
Sanford Health Plan
| Professional | $607.96 | $855.07 | $1,067.54 | |
United
| Facility | $2,714.00 | $2,714.00 | $4,561.46 |